Pelvic Floor Descensus - Descending Perineum Syndrome (DPS)

The functionality of the sphincter system is closely related to the pelvic floor, which most people associate exclusively with gynaecology. But let's not forget that every human being has a pelvic floor.

What is the pelvic floor?

Technically not perfect but illustrative, the pelvic floor can be compared to a hammock. Bladder, rectum and with women the uterus are kept in their intended position by this hammock. In the course of life, this construct of muscles and connective tissue is often additionally exposed to enormous strains. This includes among other things permanent hard physical labour as well as pregnancy and birth. A low-fibre diet without sufficient supply of liquids and obesity strain the pelvic floor. The unawareness of one's pelvic floor also plays an essential role here.

What is the connection between pelvic floor and rectum?

At first glance maybe none. But let's recall the image of the hammock. Persistent or occasional very heavy strain may stretch the support bands of the "hammock". In extreme cases, a suspension may rip or a spot in the "hammock" may become worn out. This means that the original shape of the pelvic floor is altered. The organs previously mentioned shift and can exert pressure on each other causing functional disorders.

Uterine and/or rectal prolapses occur in the course of the condition together with urinary incontinence, constipation and the inability to retain stool (faecal incontinence). This is what physicians refer to as a weakness of the pelvic floor or pelvic floor insufficiency, frequently accompanied by a general weakness of the connective tissue.


Female patients that visit our medical practice frequently complain about strong, spasmodic pain "in the intestine", either during defecation or right before or in the course of the day. X-ray images sometimes show an elongated colon and a descended pelvic floor with all the possible consequences.

1 Liver
2 Stomach
3 Small intestine
4 Sigma
X Pelvic floor